We can appreciate the cultural components that complicate access to mental healthcare for transitional age youth both with and without co-morbid medical illness. Looking through the lens of collaboration and integration both within a system and in a community, we examine the needs of two populations that are minorities in the schema of general mental health care and novel approaches child and adolescent psychiatrists are implementing to make care accessible and effective. As providers for children and adolescents who appreciate the developmental trajectories that are affected by medical illness and cultural variations, Drs. Rego, Canetti, Zerrate and Hoffman will present their perspectives on transitioning youth to adult providers and evidence based treatment modalities that can help bridge the gaps for minority youth and those who are unable to go to community mental health centers in the "typical” fashion.